Information Collection

Reemployment of Unemployment Insurance Benefit Recipients Reporting

IC 13316 under ICR 201706-1205-002 · OMB 1205-0452.

Documents and Forms

Document Name Document Type
Form ETA 9047 Reemployment of Unemployment Insurance Benefit Recipients Reporting Form and Instruction
ETA 9047 Reemployment of UI Benefit Recipients SectionIV_SpecialPrograms_ETA 9047.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reemployment of Unemployment Insurance Benefit Recipients Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9047	Reemployment of UI Benefit Recipients	SectionIV_SpecialPrograms_ETA 9047.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	2,120	2,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.